Hand held surgical device for manipulating an internal magnet assembly within a patient

• US 9,049,987 B2
• Filed: 03/15/2012
• Issued: 06/09/2015
• Est. Priority Date: 03/17/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Conlon, Sean P., Moreno, Victor C.
• Primary Examiner(s): Matthews, Christine H
• Assistant Examiner(s): LANNU, JOSHUA DARYL DEANON
• Application Number:
  US13/420,805
• Publication Number:
  US 20120238796A1
• Time in Patent Office: 1,181 Days
• Field of Search: 128897-899, 335/306
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00158 using magnetic field
• CPC Class Codes: A61B 2017/00039 Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2034/302 specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 2034/731 Arrangement of the coils or magnets
• CPC Class Codes: A61B 2034/733 arranged only on one side of the patient, e.g. under a table
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2562/0223 Magnetic field sensors
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery
• CPC Class Codes: A61B 90/13 guided by light, e.g. laser pointers

Abstract

A device for manipulating a magnetic coupling force across tissue in response to a monitored coupling force is described. The device includes a magnetic field source assembly, a positioning assembly operatively connected to the magnetic field force assembly, and a magnetic coupling force monitor. The magnetic field source assembly includes magnets that provide an external magnetic field source for providing a magnetic field across tissue. The positioning assembly adjusts the position of the magnetic field source. The magnetic field creates a magnetic coupling force between the external magnetic field source and an object positioned in use in a patient during a procedure, wherein the object has or is associated with an internal magnetic field.

Claims

1. A device for manipulating a magnetic coupling force across tissue comprising:

a magnetic field source assembly comprising a first magnetic field source for providing, in use, a magnetic field across tissue, the first magnetic field source providing a magnetic coupling force between the first magnetic field source and an object providing a second magnetic field source;

a positioning assembly operatively connected to the magnetic field source assembly for adjusting an elevational position of the first magnetic field source, the positioning assembly having a driver for adjusting the elevational position of the magnetic field source assembly and an actuator for moving the driver;

a magnetic coupling force monitor; and

an outer housing containing at least the magnetic field source assembly, the outer housing configured to allow elevational adjustment of the magnetic field source assembly within the housing;

wherein the magnetic field source assembly further comprises;

a magnet housing,

a magnet support, and

the first magnetic field source comprises at least one magnet, the at least one magnet being held by the magnet support and suspended within the magnet housing.

2. The device of claim 1 further comprising a bracket member for connecting the magnet housing to the driver.

3. The device of claim 2 further comprising a spring assembly for suspending the at least one magnet and magnet support within the magnet housing.

4. The device of claim 3 wherein the spring assembly comprises a spring having a proximal end and a distal end, the spring being mounted at the distal end on the magnet support and operatively suspended at the proximal end from the magnet housing, the spring being biased toward the proximal end thereof.

5. The device of claim 4 wherein the spring assembly further comprises:

a retainer operatively connected through the bracket member to the magnet housing, the retainer being structured to secure thereto the proximal end of the spring; and

,

a suspension member connected to the magnet support and being structured to secure thereto the distal end of the spring.

6. The device of claim 5 wherein the suspension member is operatively connected to the magnetic coupling force monitor.

7. The device of claim 6 wherein the magnet housing defines a first window therethrough and the outer housing defines a second window therethrough aligned with the first window;

and,

the magnetic coupling force monitor comprises an indicator tab that extends from the suspension member through each of the first and second windows, the indicator tab movable proximally and distally within the first and second windows, and indicia marked on an exterior surface of the outer housing adjacent the second window indicative of a magnetic coupling force experienced by the at least one magnet.

8. The device of claim 7 wherein the actuator is a manually controllable actuator having a rotatable knob mounted on a proximal end of the driver which when turned, rotates the driver to adjust an elevational position of the magnet housing to adjust the magnetic coupling force in response to the indicated magnetic coupling force.

9. The device of claim 2 wherein the actuator is a manually controllable actuator operatively connected to the driver.

10. The device of claim 9 wherein the manually controllable actuator is a rotatable knob mounted on a proximal end of the driver which, when turned, rotates the driver to adjust an elevational position of the magnet housing within the outer housing.

11. The device of claim 10 wherein the actuator further comprises a gear set operatively connected to the driver and a motor operatively connected to the gear set for motorized control of the driver.

12. The device of claim 11 wherein the positioning assembly further comprises a fail-safe mechanism for preventing travel of the driver outside of predetermined limits.

13. The device of claim 12 wherein the fail-safe mechanism is an optical sensor having a channel, a light source for sending a beam of light across the channel, a light blocking member structured for passage through the channel and operatively connected to the magnetic field source assembly, and a receiver for detecting the presence or absence of the beam of light across the channel and for signaling the presence or absence of the beam of light to the motor to stop the motor when the beam of light is blocked by the light blocking member.

14. The device of claim 12 wherein the fail-safe mechanism is a set of trip switches for signaling the motor to stop when the driver travels outside of the predetermined limits.

15. The device of claim 11 wherein the magnetic coupling force monitor comprises a sensor positioned at a distal end of the magnet support on which the magnet support rests, the sensor being calibrated to sense any change in a force exerted on the sensor, and a communication circuit from the sensor to the motor to control an operation of the motor in response to the monitored changes in the force exerted on the sensor.

16. The device of claim 11 wherein the magnetic coupling force monitor comprises:

a transducer positioned adjacent a floor of the magnet housing for measuring changes in a magnetic coupling force between the at least one magnet and the object and for transmitting signals representative of a measured change in the magnetic coupling force;

a control unit for receiving the signals from the transducer; and

,

a processor in communication with the control unit for converting the received signals to output signals for signaling the motor to adjust an elevation of the magnet housing until a predetermined magnetic coupling force is measured by the transducer.